CHRISTINE THERESE LONGORIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010114

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

THERESE

Last Name

LONGORIA

Business Name

CHRISTINE THERESE LONGORIA

Original Issue Date

10/06/2023

Effective Date

04/09/2024

Expiration Date

03/01/2026

City

MADISON

State

Zip

53719

Ever Disciplined

LastModifiedDate

12/03/2025